Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 213E00000X | Podiatrist | | 244020 | KENTUCKY | No |
| 2 | 213ER0200X | Podiatrist | Radiology | 244020 | KENTUCKY | No |
| 3 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | 244020 | KENTUCKY | No |
| 4 | 213ES0131X | Podiatrist | Foot Surgery | 244020 | KENTUCKY | No |
| 5 | 213EP1101X | Podiatrist | Primary Podiatric Medicine | 244020 | KENTUCKY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 2160772 | OTHER | | AETNA |
| 2 | 611317095-01 | OTHER | | BWC/CAREWORKS |
| 3 | 000000065431 | OTHER | | EXECUTIVE AND EMPLOYEE BE |
| 4 | 6113170957B12 | OTHER | | BLUE CROSS/BLUE SHIELD PP |
| 5 | K0164 | OTHER | | CHOICE CARE |
| 6 | 000000065431 | OTHER | | BLUE CROSS BLUE SHIELD |
| 7 | 80001647 | MEDICAID | KENTUCKY | |
| 8 | 000000065431 | OTHER | | 2ND CENTRAL STATES HEALTH |
| 9 | 0672301002 | OTHER | | CONNECTICUT GENERAL LIFE |
| 10 | 2160772 | OTHER | | AMERICAN HEALTH ADMIN |
| 11 | 672301002 | OTHER | | CIGNA |
| 12 | 000000065431 | OTHER | | CENTRAL STATES |
| 13 | 000000065431 | OTHER | | ANTHEM |
| 14 | 2720114 | OTHER | | DEFINITY HEALTH |
| 15 | G302 | OTHER | | EMPIRE BLUE CROSS/BLUE SH |
